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The percentage of overweight and obese Americans 65 and older has grown: 72% of older men and 67% of older women are now overweight or obese. Baby boomers started reaching age 65 in 2011, and the report, which was funded by the National Institutes of Health, also shows many of these older Americans are not financially prepared to pay for long-term care in nursing homes. That’s concerning, since America’s aging population, which is now around 40 million, is estimated to double by 2050.

Though there are medications available to treat appetite issues, Fabius isn’t a fan of many of them. However, he says there is pharmaceutical research in progress that could change that. “There are promising drugs in the pipeline that can stimulate appetite,” he says.

The Associated Press (AP) Life Goes Strong Poll found that today’s boomers are more obese than other generations: Roughly a third of those polled reported weights qualified as obese (compared to a quarter of older and younger responders), with an additional 36% being overweight.

Gordon’s team then repeated the experiment with one small twist: after giving the baby mice microbes from their respective twins, they moved the animals into a shared cage. This time both groups remained lean. Studies showed that the mice carrying microbes from the obese human had picked up some of their lean roommates’ gut bacteria—especially varieties of Bacteroidetes—probably by consuming their feces, a typical, if unappealing, mouse behavior. To further prove the point, the researchers transferred 54 varieties of bacteria from some lean mice to those with the obese-type community of germs and found that the animals that had been destined to become obese developed a healthy weight instead. Transferring just 39 strains did not do the trick. “Taken together, these experiments provide pretty compelling proof that there is a cause-and-effect relationship and that it was possible to prevent the development of obesity,” Gordon says.

Dana Larsen is a writer, artist, editor, dancer and food-enthusiast living in the Pacific Northwest. Originally from Alaska, Dana has a passion for the outdoors and finding life’s next adventure. She graduated with honors from the University of Washington with a degree in English and Communications, and her writing has appeared in a variety of digital and print publications. She loves connecting audiences with ideas and is also an advocate for enhancing care and support for those affected by Alzheimer’s and other dementias. View Dana’s Google Profile.

Rising prevalence of obesity is a worldwide health concern because excess weight gain within populations forecasts an increased burden from several diseases, most notably cardiovascular diseases, diabetes and cancers. The trends project 65 million more obese adults in the USA by 2030, consequently accruing an additional 6-8.5 million cases of diabetes, 5.7-7.3 million cases of heart disease and stroke, and 492,000-669,000 additional cases of cancer. The combined medical costs associated with treatment of these preventable diseases are estimated to increase by $48-66 billion per year in the USA by 2030. Hence, effective policies to promote healthier weight also have economic benefits.

Passers-by in front of a fast food restaurant in downtown Santiago. The medical cost of obesity was 2.4 percent of all health care spending in Chile in 2016 and could rise to 4 percent by 2030. Credit Victor Ruiz Caballero for The New York Times

Because the endocrine system produces hormones that help maintain energy balances in the body, the following endocrine disorders or tumors  affecting the endocrine system can cause overweight and obesity.

The report, “Aging in the United States,” examines recent trends and disparities among adults ages 65 and older, and how baby boomers will reshape America’s older population. In 2016, baby boomers will be between ages 52 and 70.

Researchers at the University of Adelaide have confirmed that if current trends continue, Australia’s Generation X will overtake Baby Boomers for poor health, including rates of obesity and diabetes, which could have huge implications for healthcare and the workforce.

A rigorous inclusion criterion as described above was employed. Only randomized controlled trials with a minimum weight loss intervention of three months, and body composition measured by DXA, MRI, CT, or hydrostatic weighing were included. Studies which targeted specific chronic diseases or conditions (e.g. diabetes mellitus, osteoarthritis), were excluded.

Lack of sleep. Not getting enough sleep or getting too much sleep can cause changes in hormones that increase your appetite. You may also crave foods high in calories and carbohydrates, which can contribute to weight gain.

Nearly 70 percent of adults over age 60 are overweight or obese, putting them at higher risk of diabetes and other diseases, according to a new study in the Journal of the American Medical Association.

Roughly 35% of Americans age 65 years old and older were obese at the end of 2010, representing more than 13 million people (4), according to the Centers for Disease Control and Prevention (CDC). The total population of seniors is expected to swell in the coming years to 88.5 million people by 2050 from 40.2 million in 2010, according to CDC data.

Oct. 31, 2013 — As growing numbers of America’s baby boomers reach retirement, neuroscientists are expanding their efforts to understand and treat one of the leading health issues affecting this population: … read more

Four trials (10 publications) examined pharmacologic treatment options for unexplained weight loss (Table 2).14–16,21–27 All four trials were small and only one was a blinded randomized control trial.23–27 The most commonly studied medication was megestrol acetate. One study also looked at the use of dronabinol for unexplained weight loss.

Jump up ^ Aune, D; Sen, A; Prasad, M; Norat, T; Janszky, I; Tonstad, S; Romundstad, P; Vatten, LJ (4 May 2016). “BMI and all cause mortality: systematic review and non-linear dose-response meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants”. BMJ (Clinical research ed.). 353: i2156. doi:10.1136/bmj.i2156. PMC 4856854 . PMID 27146380.

Several reputable and trustworthy non-profit and governmental organizations have endorsed bariatric surgery for the right patients. Organizations publishing official statements about weight loss surgery include…

In this study, the researchers did find slight reductions in lean body mass and bone mineral density among those who lost weight, but the decreases were smaller in the combined diet-exercise group than in those who dieted or exercised alone. The diet-exercise group participants lost 3 percent of their lean body mass, with a 1 percent bone mineral loss in the key area of the hip. Those who only dieted lost 5 percent of their lean body mass and 3 percent in bone mineral density at the hip.

A group in Amsterdam, meanwhile, is investigating whether transferring feces from lean to overweight people will lead to weight loss. U.S. researchers tend to view such “fecal transplants” as imprecise and risky. A more promising approach, says Robert Karp, who oversees National Institutes of Health grants related to obesity and the microbiome, is to identify the precise strains of bacteria associated with leanness, determine their roles and develop treatments accordingly. Gordon has proposed enriching foods with beneficial bacteria and any nutrients needed to establish them in the gut—a science-based version of today’s probiotic yogurts. No one in the field believes that probiotics alone will win the war on obesity, but it seems that, along with exercising and eating right, we need to enlist our inner microbial army.

Citrus Aurantium, a fruit also known as bitter orange, has a long history of medicinal use. One recently discovered quality of Citrus Aurantium is its ability to stimulate the burning of fat within the body. This is known as thermogenesis, or production of heat from fat for energy.

Women in the baby boomer generation are somewhat more likely than men of the same age to feel that they are overweight, and less likely to feel that their weight is “about right.” Fifty-nine percent of baby boomer women say they are overweight, compared with 48% of baby boomer men. This is particularly interesting given that according to CDC estimates, men are slightly more likely to be overweight (67%) than women (62%).

Obesity is also a major risk factor for the development of diabetes mellitus. The good news is that this may be preventable. In clinical studies, patients who were at a high risk of developing diabetes decreased their risk by almost 60% with less than 10% weight loss in three years.

Restricting certain foods. Certain diets limit the amount of a particular food group, such as high-carbohydrate or full-fat foods. Ask your doctor which diet plans have been found effective and which might be helpful for you. Drinking sugar-sweetened beverages is a sure way to consume more calories than you intended, and limiting these drinks or eliminating them altogether is a good place to start cutting calories.

“It’s typical for older adults to have less of an appetite as they age,” says Moreno. This often occurs, he says, because people become more sedentary and it becomes harder to stimulate hunger. Moreno suggests that a healthy diet for seniors should consist of smaller more frequent meals.

Setting realistic goals. When you have to lose a significant amount of weight, you may set goals that are unrealistic, such as trying to lose too much too fast. Don’t set yourself up for failure. Set daily or weekly goals for exercise and weight loss. Make small changes in your diet instead of attempting drastic changes that you’re not likely to stick with for the long haul.

Meyerhardt JA, Tepper JE, Niedzwiecki D, et al. Impact of body mass index on outcomes and treatment-related toxicity in patients with stage II and III rectal cancer: findings from Intergroup Trial 0114. Journal of Clinical Oncology 2004; 22(4):648-657.

[1] How are overweight and obesity diagnosed? National Heart, Lung, and Blood Institute website. http://www.nhlbi.nih.gov/health/health-topics/topics/obe/diagnosis.html. Updated July 13, 2012. Accessed October 4, 2012.

Sticking to your treatment plan. Changing a lifestyle you may have lived with for many years can be difficult. Be honest with your doctor, therapist or other health care providers if you find your activity or eating goals slipping. You can work together to come up with new ideas or new approaches.

A stroke happens when the flow of blood to a part of your brain stops, causing brain cells to die. The most common type of stroke, called ischemic stroke, occurs when a blood clot blocks an artery that carries blood to the brain. Another type of stroke, called hemorrhagic stroke, happens when a blood vessel in the brain bursts.

The diminished ability or the inability to conceive and have offspring. Infertility is also defined in specific terms as the failure to conceive after a year of regular intercourse without contraception.

Seidell JC. Epidemiology – definition and classification of obesity In:Peter G. Kopelman; Ian D. Caterson; Michael J. Stock; William H. Dietz (2005). Clinical obesity in adults and children: In Adults and Children. Blackwell Publishing. pp. 3–11. ISBN 1-4051-1672-2.

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Smoking has a significant effect on an individual’s weight. Those who quit smoking gain an average of 4.4 kilograms (9.7 lb) for men and 5.0 kilograms (11.0 lb) for women over ten years.[139] However, changing rates of smoking have had little effect on the overall rates of obesity.[140]
Obesity is a recognized contributing factor to urinary incontinence in older women and men (45). Although the precise underlying mechanism(s) is unclear, the apparent excessive weight and pressure applied on the bladder by the increased intra-abdominal fat mass appears to be a reasonable contributor to this complication.
Following a sensible diet can help prevent excess weight gain. But it’s also important to note that older adults occasionally have naturally occurring loss of taste or difficulty chewing that can make adhering to certain dietary recommendations challenging.
Here’s “the tell it like it is” projection for Medicare costs. Medicare spending is projected to grow four times faster between now and 2024 than it grew between 2010 and 2014. Medicare spending is projected to grow almost a full percentage faster than our country’s economy.
A study done in Sweden compared the rates of diabetes and hypertension in two groups of obese patients: those who underwent surgery and those who didn’t. Each group had similar body weight at baseline (the start of the study). At two years, diabetes and high blood pressure were lower in the patients treated with surgery.
Commonly referred to as GERD or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. The liquid can inflame and damage the lining (cause esophagitis) of the esophagus although visible signs of inflammation occur in a minority of patients.
If you’re ready to get started with a weight loss program, ask your doctor to help you set personal goals and refer you to other professionals who can give you tips and help you reach your goals. For example, a nutritionist can help you with a food plan, and a physical therapist or trainer can help you move more.
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. New England Journal of Medicine 2003; 348(17):1625-1638.
NIH task force to develop first nutrition strategic plan. We will collaborate with other institutes to develop a ten-year plan to increase research in nutrition, including experimental design and training. Visit NIH task force formed to develop first nutrition strategic plan for more information.
W. B. Droyvold, T. I. Lund Nilsen, S. Lydersen, K. Midthjel, P. M. Nilsson, J. Nilsson, J. Holmen; “Weight change and mortality: the Nord-Trondelag Health Study.” Journal of Internal Medicine. Volume 257 Issue 4, Pages 338 – 345
Factors that may contribute to weight gain among adults and youth include genes, eating habits, physical inactivity, TV, computer, phone, and other screen time, sleep habits, medical conditions or medications, and where and how people live, including their access to healthy foods and safe places to be active.1,6
“Our research indicates that higher numbers of young and middle-age American adults are becoming obese at younger and younger ages,” researcher Joyce Lee, MD, MPH, a pediatric endocrinologist at the University of Michigan, says in a news release.
Dennis T. Villareal, Suresh Chode, Nehu Parimi, David R. Sinacore, Tiffany Hilton, Reina Armamento-Villareal, Nicola Napoli, Clifford Qualls, Krupa Shah. Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults. New England Journal of Medicine, 2011; 364 (13): 1218 DOI: 10.1056/NEJMoa1008234
While there are other measures of obesity, including abdominal fat and waist circumference, researchers generally define it according to body mass index, or BMI. The BMI formula divides an individual’s weight by the square of height, then multiplies the result by 703. The math is not without controversy: Some health experts charge that for people with large muscle mass, the calculations may unfairly skew them into overweight or obese categories.
For example, fat “cushions” the release of various flavors on the tongue, unveiling them gradually and allowing them to linger. When fat is removed, flavors tend to immediately inundate the tongue and then quickly flee, which we register as a much less satisfying experience. Fona’s experts can reproduce the “temporal profile” of the flavors in fattier foods by adding edible compounds derived from plants that slow the release of flavor molecules; by replacing the flavors with similarly flavored compounds that come on and leave more slowly; or by enlisting “phantom aromas” that create the sensation of certain tastes even when those tastes are not present on the tongue. (For example, the smell of vanilla can essentially mask reductions in sugar of up to 25 percent.) One triumph of this sort of engineering is the modern protein drink, a staple of many successful weight-loss programs and a favorite of those trying to build muscle. “Seven years ago they were unpalatable,” Sobel said. “Today we can mask the astringent flavors and eggy aromas by adding natural ingredients.”
For women, a waist circumference over 35 inches (88 cm) along with a body mass index of 25 or more (“overweight” classification) places you at a high risk for obesity health problems.  If your waist is over 35 inches, the higher your BMI, the higher your risks.
Other conditions and illnesses that are associated with both weight gain and obesity include: hyperthyroidism, Cushing’s syndrome, polycystic ovary syndrome, and depression (NIH, 2006).  The older adults who are obese are more likely than those who are not obese to report symptoms of depression, such as feelings of sadness, worthlessness, and hopelessness (Center on an Aging Society, 2003). Lack of sleep may contribute to obesity, as well as certain drugs, such as steroids and some antidepressants that may stimulate the appetite, cause water retention, or slow the metabolism rate (NIH, 2008). Finally, the complex relationship between functional ability and lifestyle patterns merits attention as a contributor to obesity (Center on an Aging Society). Joint pain, decreased mobility, and activity intolerance may lead to weight gain because of decreased activity. Older adults are more likely than younger adults to experience functional limitations associated with chronic illnesses that may begin a stress-pain-depression cycle that can result in lifestyle patterns leading obesity (Lorig et al., 2006).
As designed, body weight and fat mass (FM) decreased significantly in the intervention group. Fat free mass (FFM) decreased in both groups but the difference was not statistically significant. Physical performance test score, peak oxygen consumption, and functional status all significantly improved in the diet and exercise group. Increases in strength were equal to or greater than reported in earlier trials in non-obese older adults completing a similar exercise program (Binder 2002; Villareal 2003; Villareal 2004). The investigators stressed that it was not difficult to change the behavior of these older sedentary adults, showing that it was a feasible intervention, which also provided important social interactions that enhanced compliance.
It is important to make a solid commitment to changing a behavior or lifestyle. Involve your family and/or friends and ask them to help you make the necessary changes to positively impact your health.
She was quick to point out that the disability rate of the preretirement age group is “still quite low compared to older Americans,” although it was a full percentage point higher—5 percent instead of 4 percent—compared to people of that same age 10 years earlier.
Jump up ^ LeFevre, Michael L. (26 August 2014). “Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: U.S. Preventive Services Task Force Recommendation Statement”. Annals of Internal Medicine. 161 (8): 587–93. doi:10.7326/M14-1796. PMID 25155419.
Author familyhealthtodayPosted on November 19, 2016Categories HEART HEALTH, LONGEVITY, PREDIABETES/DIABETES, WEIGHT LOSSTags baby bommers health, baby boomer diabesity, baby boomer fitness, baby boomer health, baby boomer health concerns, baby boomer health issues, baby boomer wellness, baby boomers diabesity, baby boomers fitness, baby boomers health, baby boomers health concerns, baby boomers health issues, baby boomers wellness, blood glucose, breast health, diabesity, diabetes, healthy, healthy life, optimal health, prediabetes
A. The answer is YES. In fact, many of the risk factors for heart disease, such high blood pressure, blood glucose levels, insulin resistance, and overweight, are also risk factors for dementia, in addition to genetic predisposition for the disease.
Pregnancy. During pregnancy, a woman’s weight necessarily increases. Some women find this weight difficult to lose after the baby is born. This weight gain may contribute to the development of obesity in women.
Unfortunately, it’s common to regain weight no matter what obesity treatment methods you try. If you take weight-loss medications, you’ll probably regain weight when you stop taking them. You might even regain weight after weight-loss surgery if you continue to overeat or overindulge in high-calorie foods. But that doesn’t mean your weight-loss efforts are futile.
Note: The health risks associated with obesity mentioned above are just examples of some of the most common concerns, as might be included in first-level courses in health sciences e.g. A-Level Human Biology (16-18 year-olds in UK).
If you’re in your 50s, and you plan to lose a significant amount of weight it is essential to contact a doctor’s office first to confirm your chosen route is safe and will not conflict with any medication you are already on. Consult with the specialists from Forest Healthcare and you might just be on the right path to losing weight effectively in our 50s.
“Everyone’s mother and brother has been telling them to eat more fruit and vegetables forever, and the numbers are only getting worse. We’re not going to solve this problem by telling people to eat unprocessed food.”
The baby-boomer weight crisis is rapidly moving past their burden of buying plus-size clothing. Modern medicine will keep them alive longer than previous generations even with their increased need for care due to their weight gain. Their increased health care cost will push America into a debt crisis. One driver will be paying for extended medical care to medicate the life choices made by the boomer generation. The second driver will be the increased gross amounts the boomer generation will be paid from Social Security by living longer.
Exercise. People who are overweight or obese need to get at least 150 minutes a week of moderate-intensity physical activity to prevent further weight gain or to maintain the loss of a modest amount of weight. To achieve more-significant weight loss, you may need to exercise 300 minutes or more a week. You probably will need to gradually increase the amount you exercise as your endurance and fitness improve.
Likewise, increasing your activity level is largely a matter of changing your attitude. You don’t have to become a marathon runner. Thirty minutes of aerobic activity five days a week will make a significant difference in your health. Look for ways to increase your activity level doing things you enjoy.
Body mass index (BMI) is used to determine if you or your child are underweight, healthy, or overweight or obese. Children are underweight if their BMI is below the 5th percentile, healthy weight if their BMI is between the 5th to less than the 85th percentile, overweight if their BMI is the 85th percentile to less than the 95th percentile, and obese if their BMI is the 95th percentile or above. Adults are underweight if their BMI is below 18.5, healthy weight if their BMI is 18.5 to 24.9, overweight if their BMI is 25 to 29.9, and obese if their BMI is 30 or above. *A child’s BMI percentile is calculated by comparing your child’s BMI to growth charts for children who are the same age and sex as your child.
Binder EF, Schechtman KB, Ehsani AA, Steger MK, Brown M, Sinacore DR, Yarasheski KE, Holloszy JO. Effects of exercise training on frailty in community-dwelling older adults: results of a randomized controlled trial. J Am Geriatr Soc. 2002;50:1921–1928. [PubMed]
In order to address these in a systematic review, we posed the research question: “Is there evidence that weight loss is achievable, safe, and maintainable in obese adults aged 65 years and older?” We hypothesized that weight loss would be achievable and safe despite some loss of lean body mass and bone. We also hypothesized that weight loss could be maintained in the long-term. Our primary aim was to systematically review the evidence on weight loss interventions in obese older adults, with a specific focus on changes in body composition, metabolic markers, and physical function, and also mechanisms associated with intentional weight loss through caloric restriction, exercise or both. We applied rigid criteria for defining older adults (≥65 years) and obesity (BMI ≥ 30 kg/m2) based on the position statement of the American Society of Nutrition and Obesity Society (Villareal 2005), and only included randomized controlled trials that used direct and precise methods for measuring body composition.

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…high-calorie, processed food is less expensive and quicker to prepare than fresh fruits and vegetables. Poverty and lower levels of education have also been linked to obesity (NIH, 2006). It has been suggested that one reason why poverty and lower educational levels are risk factors for obesity is that high-calorie, processed food is less expensive and quicker to prepare than fresh fruits and vegetables (NIH, 2006). Through observation and the anecdotes patients have shared with me, I have come to believe the social environment indeed contributes to the increasing prevalence of obesity. To date, only a few research studies have focused on this factor.
HEIDI L. GADDEY, MD, is associate program director at the Ehrling Bergquist Family Medicine Residency Program, Offutt Air Force Base, Neb. At the time this article was written she was associate program director at the David Grant Medical Center Family Medicine Residency Program, Travis Air Force Base, Calif….
While assisted living and nursing homes may be qualified to care for elderly residents who suffer from all kinds of age-related issues such as bathing, dressing, health conditions like Alzheimer’s or diabetes, meals and medication; obese residents require a plethora of additional care and education for nurses, physicians and staff.
Goodwin PJ, Segal RJ, Vallis M, et al. Randomized trial of a telephone-based weight loss intervention in postmenopausal women with breast cancer receiving letrozole: the LISA trial. Journal of Clinical Oncology 2014; 32(21):2231-2239.
To begin with the second part, I suggest that you look for a physician in your community that addresses weight and diet issues. Your father cannot see his weight as a problem because he cannot consider the possibility of living without whatever need the food is meeting. He shold be checked medically for metabolic conditions, such as diabetes and body chemistry imbalances. You can hire an ambulance service that transports wheelchair patients to take him to the doctor.
Meat is a concentrated form of calories that can pack on the pounds if not eaten in the right portions. Choosing one or more days a week to go vegetarian can help lower the caloric load of the day, giving your body a chance to burn off excess fat. When going vegetarian, don’t just substitute with cheese, which is equally rich in fat. Instead, opt for low calorie veggies like mushrooms or soy based tofu.
3. Work with an expert in your area to help you find care. A Place for Mom offers free expert Senior Living Advisors. These Advisors are compassionate and can answer a wide range of questions about elder care for your unique situation. They can help be your personal guide through this challenging time.
Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Dallas Medical Center, Methodist Health System, or any of its affiliated hospitals.
Ironically, weight loss itself, particularly rapid weight loss or loss of a large amount of weight, can actually increase your chances of developing gallstones. Modest, slow weight loss of about 1 pound a week is less likely to cause gallstones.
Jump up ^ van Baal PH, Polder JJ, de Wit GA, Hoogenveen RT, Feenstra TL, Boshuizen HC, Engelfriet PM, Brouwer WB (February 2008). “Lifetime Medical Costs of Obesity: Prevention No Cure for Increasing Health Expenditure”. PLoS Med. (Comparative Study). 5 (2): e29. doi:10.1371/journal.pmed.0050029. PMC 2225430 . PMID 18254654.
On further questioning, the patient admits that even though she had been eating three meals per day, she eats less at each meal than previously. She tells you that her husband of 50 years died suddenly 10 months ago. She reports her mood is fine but that she still has not gotten over his death. She feels lonely and is finding it difficult to motivate herself to prepare adequate meals for only one person. She also reports experiencing nausea and some difficulty chewing over the past month. You take a closer look in her mouth and notice that her dentures are loose and that there are a few small ulcers on her hard palate.
Usually, periodic attacks of headaches on one or both sides of the head. These may be accompanied by nausea, vomiting, increased sensitivity of the eyes to light (photophobia), increased sensitivity to sound (phonophobia), dizziness, blurred vision, cognitive disturbances, and other symptoms. Some migraines do not include headache, and migraines may or may not be preceded by an aura.
I’m a fan of many of Mark Bittman’s recipes. I shop at Whole Foods all the time. And I eat like many wholesome foodies, except I try to stay away from those many wholesome ingredients and dishes that are high in fat and problem carbs. What’s left are vegetables, fruits, legumes, whole grains, poultry, and fish (none of them fried, thank you), which are often emphasized by many wholesome-food fans. In general, I find that the more-natural versions of these ingredients taste at least a bit better, and occasionally much better, than the industrialized versions. And despite the wholesome-food movement’s frequent and inexcusable obliviousness to the obesogenicity of many of its own foods, it deserves credit for paying more attention to those healthier ingredients than does Big Food.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC’s accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more A.D.A.M.’s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
There are many causes that directly and indirectly contribute to obesity. Behavior, environment and genetics are among the main contributors to obesity. The Centers for Disease Control has identified these three as the main causes to the complexity of the obesity epidemic.
Obesity is known to cause heart disease, stroke, diabetes and certain cancers. Developing any of these illnesses and diseases can have debilitating results, including loss of employment, inability to cover medical costs and care, and disability. Savings can be wiped out, causing tremendous financial hardships — at a time when unemployment is at an all time high. And, to compound the problem, many Americans are living without health insurance, which is a huge financial risk in and of itself.
The first sculptural representations of the human body 20,000–35,000 years ago depict obese females. Some attribute the Venus figurines to the tendency to emphasize fertility while others feel they represent “fatness” in the people of the time.[15] Corpulence is, however, absent in both Greek and Roman art, probably in keeping with their ideals regarding moderation. This continued through much of Christian European history, with only those of low socioeconomic status being depicted as obese.[15]
Being overweight or obese isn’t just a cosmetic issue. Both conditions put your health at risk and can contribute a number of diseases, including diabetes and cancer. That risk only increases in individuals who have a family history of health problems, have a sedentary lifestyle, smoke, or have an unhealthy diet.
“I never really paid attention to labels,” Patricia Sánchez, 32, an accountant and mother of two, said as she filled her shopping cart at a Santiago supermarket, with occasional help from her 7-year-old daughter. “But now they kind of force you to pay attention. And if I don’t notice, my kids do.”
Environmental factors: The most important environmental factor is lifestyle. Your eating habits and activity level are partly learned from the people around you. Overeating and sedentary habits (inactivity) are the most important risk factors for obesity.
There may be other reasons to prefer wholesome food to the industrialized version. Often stirred into the vague stew of benefits attributed to wholesome food is the “sustainability” of its production—that is, its long-term impact on the planet. Small farms that don’t rely much on chemicals and heavy industrial equipment may be better for the environment than giant industrial farms—although that argument quickly becomes complicated by a variety of factors. For the purposes of this article, let’s simply stipulate that wholesome foods are environmentally superior. But let’s also agree that when it comes to prioritizing among food-related public-policy goals, we are likely to save and improve many more lives by focusing on cutting obesity—through any available means—than by trying to convert all of industrial agriculture into a vast constellation of small organic farms.
Nevertheless, the follow-up study of weight and breast cancer in the Women’s Health Initiative (36) found that for women who were already overweight or obese at baseline, weight change (either gain or loss) was not associated with breast cancer risk during follow-up. However, for women who were of normal weight at baseline, gaining more than 5% of body weight was associated with increased breast cancer risk.
A disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints it causes recurring attacks of joint inflammation (arthritis). Chronic gout can also lead to deposits of hard lumps of uric acid in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones.

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Most seniors experience a steady decline in strength and endurance as they age, especially after age 75. Yoga routines for seniors help improve balance, strength and mobility, allowing for continued independence in later years as well as improving such characteristic health problems as arthritis, constipation and hypertension. Among other benefits, yoga practice promotes an increase in self-reported quality of life, as reported in a 2011 study published in the “International Journal of Yoga.”
Since fats and bile acids have a negative charge, Chitosan actively attracts and binds them, making them unavailable for absorption. It actually binds up to 12 times its weight of lipids (fats). It’s as if you are not eating the fat at all!
Diabetes disproportionately affects older adults; a staggering 25 percent of adults age 60 and older have the disease. Without a significant strategy change in the public or private sectors, population growth on top of skyrocketing medical costs and an aging population will add an unbearable strain to an already overburdened healthcare system. These grim numbers accentuate the growing need for new strategies that will not simply react to the disease and manage symptoms, but prevent the disease from happening.
It’s possible to eat healthy produce on a limited budget. “Frozen fruits and vegetables can be cheaper and sometimes even healthier than fresh, depending where they’re shipped from,” Campbell says. Canned produce can be OK, she says, if there’s no added salt.
Their results showed that people born between 1966 and 1985 became obese at a much faster rate than people born in previous generations. Researchers found that 20% of people born in 1966-1985 were obese by 20-29 years of age. That prevalence of obesity was not reached until ages 50-59 for people born in 1926-1935 and until ages 40-49 for people born a decade later.
Orlistat (Xenical 120 mg by prescription or Alli 60 mg available over the counter) is a medication approved by the FDA in 1999. Your doctor may prescribe it if you weigh more than 30% over your healthy body weight or have a BMI greater than 30. Over one year, people who followed a weight-loss diet and took orlistat lost an average of 13.4 pounds, almost 8 pounds more than people who used diet alone to lose weight. It works by reducing the absorption of fat from the intestine. Diarrhea and incontinence of stool may be side effects of this medicine.
“It used to be thought that older patients don’t respond to treatment for obesity as well as younger patients,” Kahan says. “People assume that they couldn’t exercise as much or for whatever reason they couldn’t stick to diets as well. But we’ve disproven that.”
More than one-third of people age 65 and older in the United States are obese, according to the study authors. Obesity worsens the typical age-related decline in physical functioning and causes frailty, while weight loss can lead to harmful declines in muscle mass and bone density.
Jump up ^ Chakravarthy MV, Booth FW (2004). “Eating, exercise, and “thrifty” genotypes: Connecting the dots toward an evolutionary understanding of modern chronic diseases”. J. Appl. Physiol. (Review). 96 (1): 3–10. doi:10.1152/japplphysiol.00757.2003. PMID 14660491.
Updated August 31, 2017: According to the most recent data, adult obesity rates now exceed 35 percent in five states, 30 percent in 25 states, and 25 percent in 46 states. West Virginia has the highest adult obesity rate at 37.7 percent and Colorado has the lowest at 22.3 percent. The adult obesity rate decreased in Kansas between 2015 and 2016, increased in Colorado, Minnesota, Washington, and West Virginia, and remained stable in the rest of states. This supports trends that have shown overall leveling off of obesity rates in recent years.
The distribution of your body fat also plays a role in determining your risk of obesity-related health problems. There are at least two different kinds of body fat. Studies conducted in Scandinavia have shown that excess body fat distributed around the waist (apple-shaped figure, intra-abdominal fat) carries more risk than fat distributed on the hips and thighs (pear-shaped figure, fat under the skin).
A version of this article appears in print on February 8, 2018, on Page A1 of the New York edition with the headline: Waging a Sweeping War on Obesity, Chile Slays Tony the Tiger. Order Reprints| Today’s Paper|Subscribe
Mar. 14, 2014 — The ACE I/D gene and how its variations — the ID, DD, and II genotypes — cause some seniors’ to lose out on the benefits of exercise, new research shows. These findings suggest that the ACE … read more
Armamento-Villareal R, Sadler C, Napoli N, Shah K, Chode S, Sinacore DR, Qualls C, Villareal DT. Weight loss in obese older adults increases serum sclerostin and impairs hip geometry but both are prevented by exercise training. J Bone Miner Res. 2012;27:1215–1221. [PMC free article] [PubMed]
With her wedding just days away, Wilhelm tried to get to the bottom of her father’s alarming transformation. Because he was diabetic, his primary care physician assumed the weight loss was diabetes-related and treated the problem as such. Wilhelm, worried that the condition might be more serious, tried insisting that her father go to the hospital, but he wouldn’t hear of it.
I suffer with Crohn’s & im trying to lose 30 lbs… I’m 5’4 almost 50 & always fluctuating between 180-195lbs. I do your chair to chair running/walking excercise but may need supplements for energy. I do take iron….But not motivated feel sluggish with low energy….Any advice is appreciated.
Community programs to prevent obesity. Based on the results of research studies, the NHLBI, with a multidisciplinary team of researchers, dieticians, public health experts and community center representatives, developed programs such as We Can!® and Aim for a Healthy Weight to promote a healthy lifestyle. 
Sadly, Wilhelm’s father’s condition wasn’t treatable, and he passed away a few months after being diagnosed with terminal cancer; but not before Wilhelm spent her weekends being his caregiver. “Taking care of my father was not easy on my new marriage, or myself,” she says, “but I would not change a thing. I did what would make my father the happiest. We have to make sacrifices for family.”
He can’t stand, nor can he barely move. In the last 3 weeks, he has fallen FIVE times and couldn’t get up any of those times. He has had to call 911 each time to have them send the fire department to come lift him up. It’s taken five people each time to lift him up.
Improving physical function and helping to preserve muscle and bone mass through regular physical exercise is important in older adults who are obese. Increasing flexibility, endurance, and strength are the goals of regular exercise in older adults who are obese. Stretching, aerobic, and strengthening exercises are recommended by the American Society for Nutrition and the North American Association for the Study of Obesity and the Obesity Society, even for very old or frail persons (Villareal et al., 2005). To avoid musculoskeletal injuries and encourage adherence, exercise should be started at a low intensity and gradually progress over several weeks or months to a more vigorous level.
A diet or healthy living plan is not complete unless you include exercise into your daily routine. Exercise is key to improving your health, increasing your muscle mass and therefore increasing your daily calorie requirements. Exercising can increase mobility and self-sufficiency in Seniors It is essential to choose an exercise regime that you enjoy and is close to your home; this will ensure you stick to it for the long term.
Jump up ^ Beydoun MA, Beydoun HA, Wang Y (May 2008). “Obesity and central obesity as risk factors for incident dementia and its subtypes: A systematic review and meta-analysis”. Obes Rev (Meta-analysis). 9 (3): 204–18. doi:10.1111/j.1467-789X.2008.00473.x. PMC 4887143 . PMID 18331422.
Depending on the breed, when your dog is seven years or older, he may be considered a senior. With old age comes a variety of issues that can have negative effects on your dog’s health. Unplanned weight gain in senior dogs is one of the more common issues, and as your old dog becomes more overweight, this can lead to a large number of other related health problems.
As designed, body weight and fat mass (FM) decreased significantly in the intervention group. Fat free mass (FFM) decreased in both groups but the difference was not statistically significant. Physical performance test score, peak oxygen consumption, and functional status all significantly improved in the diet and exercise group. Increases in strength were equal to or greater than reported in earlier trials in non-obese older adults completing a similar exercise program (Binder 2002; Villareal 2003; Villareal 2004). The investigators stressed that it was not difficult to change the behavior of these older sedentary adults, showing that it was a feasible intervention, which also provided important social interactions that enhanced compliance.
It’s never too late to begin a weight-control and exercise program. Along with a healthy diet, engaging in individually-appropriate physical activity—aerobics, resistance training, and flexibility exercises—can provide seniors a way toward feeling younger.
Biliopancreatic diversion with duodenal switch. This procedure begins with the surgeon removing a large part of the stomach. The surgeon leaves the valve that releases food the small intestine and the first part of the small intestine (duodenum). Then the surgeon closes off the middle section of the intestine and attaches the last part directly to the duodenum. The separated section of the intestine is reattached to the end of the intestine to allow bile and digestive juices to flow into this part of the intestine.
Hypothyroidism is a condition in which the thyroid gland doesn’t make enough thyroid hormone. Lack of thyroid hormone will slow down your metabolism and cause weight gain. You’ll also feel tired and weak.
The physical examination can aid in evaluating concerns prompted by history findings. Body weight without shoes should be assessed on a clinic scale. Evaluation of the oral cavity and dentition may indicate difficulty with chewing or swallowing. Heart, lung, gastrointestinal, and neurologic examinations evaluate for illnesses contributing to or causing weight loss.
Obesity can sometimes be traced to a medical cause, such as Prader-Willi syndrome, Cushing’s syndrome, and other diseases and conditions. However, these disorders are rare and, in general, the principal causes of obesity are:
^ Jump up to: a b Allison DB, Fontaine KR, Manson JE, Stevens J, VanItallie TB (October 1999). “Annual deaths attributable to obesity in the United States”. JAMA. 282 (16): 1530–38. doi:10.1001/jama.282.16.1530. PMID 10546692.

“definition of obesity calculator -obesity statistics in us”

“They’re going to be expensive if they don’t get their act together,” said Jeff Levi, executive director of the nonprofit Trust for America’s Health. He cites a study that found Medicare paid 34 percent more for an obese senior than one who’s a healthy weight.
The area I found that’s most chockablock with commercial food options brackets the busy intersection of two main streets. However, like most areas I passed through nearby, this food scene was dominated not by fast-food restaurants but by bodegas (which, like most other types of convenience stores, are usually considered part of the low-income, food-desert landscape). I went into several of these mom-and-pop shops and saw pretty much the same thing in every one: A prominent display of extremely fatty-looking beef and pork, most of it fresh, though gigantic strips of fried pork skin often got pride of place. A lot of canned and boxed foods. Up front, shelves of candy and heavily processed snacks. A large set of display cases filled mostly with highly sugared beverages. And a small refrigerator case somewhere in the back sparsely populated with not-especially-fresh-looking fruits and vegetables. The bodega industry, too, seems to have plotted to addict communities to fat, sugar, and salt—unless, that is, they’re simply providing the foods that people like.
Oct. 31, 2013 — As growing numbers of America’s baby boomers reach retirement, neuroscientists are expanding their efforts to understand and treat one of the leading health issues affecting this population: … read more
Aerobic exercises included treadmill walking, stationary cyclingand stair climbing. Resistance training involved upper-body and lower-body exerciseson weight-lifting machines. All groups also did flexibility and balance exercises.
By all means, let’s protect the environment. But let’s not rule out the possibility of technologically enabled improvements to our diet—indeed, let’s not rule out any food—merely because we are pleased by images of pastoral family farms. Let’s first pick the foods that can most plausibly make us healthier, all things considered, and then figure out how to make them environmentally friendly.
31% of adults are obese; 17% of children are obese. Mississippi is the fattest state with 34% obesity; Colorado is the thinnest state with 21% obesity. In 2000, there were 3.8 million people over 300 pounds, and 400,000 people (mostly males) over 400 pounds. Children are more likely to be obese if born to obese parent; the patterns may be established as early as 3 months of age, due to decreased energy expenditure in infants of obese mother.
According to the World Health Organization (WHO) being overweight or obese is largely preventable. To reach your ideal weight you must reach a balance of calories consumed and calories burned. According to WHO, in your diet you can:
BMI is the tool most commonly used to estimate and screen for overweight and obesity in adults and children. BMI is defined as weight in kilograms divided by height in meters squared. For most people, BMI is related to the amount of fat in their bodies, which can raise the risk of many health problems. A health care professional can determine if a person’s health may be at risk because of his or her weight.
Although strength training programs have been shown to reduce body weight significantly (and increase muscle mass), convincing overweight clients to eat properly is even more important in helping them lose fat. Consult a registered dietician and use the information in chapter 10 that discusses food selection and substitutions for heart-healthy eating to help your overweight clients attain a more desirable bodyweight. Also, encourage them to drink lots of water before, during, and after especially in hot and humid weather or in training areas without ideal air circulation. Suggest that they wear loose clothing to decrease chafing and dress in layers so that they can remove articles to avoid overheating (Flood and Constance 2002).
One study even found that adults between ages 60 and 74 were four times more likely to be depressed if they were obese [source: Pappas]. And obesity and aging joints is not a good mix, meaning that creaking knees will suffer more wear and tear when holding up someone who enjoys an extra trip back to the buffet table.
Structure House offered me the opportunity to leave my chaotic world of eating and go to a safe place to build new habits that would last a lifetime. An initial four week stay and two additional visits over a one year period helped me to lose 170 pounds and learn lifelong habits to continue being healthy.    
Stronger evidence for a relationship between weight loss and cancer risk comes from studies of people who have undergone bariatric surgery (surgery performed on the stomach or intestines to induce weight loss). Obese people who have bariatric surgery appear to have lower risks of obesity-related cancers than obese people who do not have bariatric surgery (35).
Lots Of Seniors Are Overweight, But Few Use Free Counseling For It : Shots – Health News A little-known part of the Affordable Care Act pays primary care doctors to help overweight seniors lose weight. So why aren’t more seniors taking advantage of the free weight loss counseling?
Jump up ^ Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB (23 June 2011). “Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men”. The New England Journal of Medicine (Meta-analysis). 364 (25): 2392–404. doi:10.1056/NEJMoa1014296. PMC 3151731 . PMID 21696306.
As you age, your metabolism slows down. This causes weight gain in women. Fight weight gain by using a reduced-calorie diet. Diet requirements will vary by height and weight, however. MayoClinic.com offers its Healthy Pyramid Tool, allowing women to calculate daily calorie and food serving requirements. As a general rule, you need to consume fruits, vegetables and whole grain carbohydrates. Lean protein sources, like nuts and fresh water fish, are also eaten. Fats are consumed in moderation, however, should come from healthy sources, like olive oil.
Stick to water. Skip high-calorie beverages, such as soda, fruit smoothies, and fancy coffee drinks. There are approximately nine packages of sugar and close to 150 calories in one 12-oz can of soda or juice. Smoothies and coffee drinks are often 250 -500 calories, excluding the whipped cream. Instead, choose low- or no-calorie drinks, such as green tea or fruit-infused water.

“grades of obesity based on bmi -exogenous obesity”

Chronic Drinking – SeniorsCognitive Difficulty – SeniorsDepression – SeniorsDiabetes – Relative Change from 1999 to 2014Education – SeniorsHigh Health Status – Relative Change from 1999 to 2014Multiple Chronic Conditions – SeniorsObesity – Relative Change from 1999 to 2014Overuse–MammographyOveruse–PSA TestPoor Mental Health Days – SeniorsSmoking – Relative Change from 1999 to 2014Social Support – SeniorsSuicide – Senior
A team from the University of Barcelona (UB) led by Dr Juan Carlos Laguna published a study in the journal Hepatology that provides clues to the molecular mechanism through which fructose (a type of sugar) in beverages may alter lipid energy metabolism and cause fatty liver and metabolic syndrome.
Weight-loss medication choices are more limited in older adults. This shortens the list of available medications for weight-loss. Side effects, existing medical conditions and interactions with other medications are the major barriers in prescribing weight-loss medications in the elderly. Bariatric surgery is being increasingly considered in older adults as well. The existing medical problems, surgical risk and benefits from the surgery need to be closely analyzed by the medical team and discussed with the patient to ensure an optimal decision and a satisfactory outcome.
Diagnosis of obesity is made by observation and by comparing the patient’s weight to ideal weight charts. Many doctors and obesity researchers refer to the body mass index (BMI), which uses a height-weight relationship to calculate an individual’s ideal weight and personal risk of developing obesity-related health problems. Physicians may also obtain direct measurements of an individual’s body fat content by using calipers to measure skin-fold thickness at the back of the upper arm and other sites. The most accurate means of measuring body fat content involves immersing a person in water and measuring relative displacement; however, this method is very impractical and is usually only used in scientific studies requiring very specific assessments. Women whose body fat exceeds 30% and men whose body fat exceeds 25% are generally considered obese.
In December 1997, the United States Food and Drug Administration (FDA) approved sibutramine (Meridia), a drug which increases the levels of serotonin and norepinephrine in the brain, to treat obesity (both in attaining and in maintaining weight loss). However, the drug was withdrawn from the market in October 2010 because clinical trial data indicated that it is associated with an increased risk of heart attack and stroke.
Like many other medical conditions, obesity is the result of an interplay between genetic and environmental factors.[118] Polymorphisms in various genes controlling appetite and metabolism predispose to obesity when sufficient food energy is present. As of 2006, more than 41 of these sites on the human genome have been linked to the development of obesity when a favorable environment is present.[119] People with two copies of the FTO gene (fat mass and obesity associated gene) have been found on average to weigh 3–4 kg more and have a 1.67-fold greater risk of obesity compared with those without the risk allele.[120] The differences in BMI between people that are due to genetics varies depending on the population examined from 6% to 85%.[121]
Lack of access to healthy foods. Some people don’t live in neighborhoods with supermarkets that sell healthy foods, such as fresh fruits and vegetables. Or, for some people, these healthy foods are too costly.
There are many possible pathophysiological mechanisms involved in the development and maintenance of obesity.[148] This field of research had been almost unapproached until the leptin gene was discovered in 1994 by J. M. Friedman’s laboratory.[149] While leptin and ghrelin are produced peripherally, they control appetite through their actions on the central nervous system. In particular, they and other appetite-related hormones act on the hypothalamus, a region of the brain central to the regulation of food intake and energy expenditure. There are several circuits within the hypothalamus that contribute to its role in integrating appetite, the melanocortin pathway being the most well understood.[148] The circuit begins with an area of the hypothalamus, the arcuate nucleus, that has outputs to the lateral hypothalamus (LH) and ventromedial hypothalamus (VMH), the brain’s feeding and satiety centers, respectively.[150]
Children who have a television in their bedroom are much more likely to be obese or overweight than kids who do not, researchers from the Pennington Biomedical Research Center in Baton Rouge, LA, reported in the American Journal of Preventive Medicine (December 2012 issue).
Jump up ^ Dannenberg AL, Burton DC, Jackson RJ (2004). “Economic and environmental costs of obesity: The impact on airlines”. American journal of preventive medicine (Letter). 27 (3): 264. doi:10.1016/j.amepre.2004.06.004. PMID 15450642.
A crude population measure of obesity is the body mass index (BMI) which is a simple index of weight-for-height that is commonly used in classifying overweight and obesity in adult populations and individuals – a person’s weight in kilograms is divided by the square of the height in meters (kg/m2). BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and for all ages of adults but it is merely a rough guide because it may not correspond to the same degree of fatness in different individuals.
“The ‘epidemic’ of obesity is paralleled by a ‘silent epidemic’ of reduced sleep duration with short sleep duration linked to increased risk of obesity both in adults and in children. These trends are detectable in adults as well as in children as young as 5 years.”
A major concern with weight loss for seniors is the accompanying loss of lean tissue, which can accelerate existing sarcopenia (age-related loss of muscle and strength). The result could also include reduction of bone mineral density that could worsen frailty and lead to greater risk of bone fractures and broken hips. Studies have yet to provide sufficient evidence, one way or another, as to whether or not weight loss provides a true enhancement to quality of life.
About 72 percent of Sacramento-area baby boomers were overweight or obese in 2012, compared to 61 percent among the same age group in 2003, the UCLA data show. During that same period, the percentage of younger adults, ages 18 to 47, in the region who were overweight or obese rose just 2 percent, to just more than half the people in that age group.
Compared with people of normal weight, those who are overweight or obese are at greater risk for many diseases, including diabetes, high blood pressure, cardiovascular disease, stroke, and many cancers. Extreme or severe obesity is also associated with an increased death rate; heart disease, cancer, and diabetes are responsible for most of the excess deaths (1, 2).
Like diet and exercise, the goal of medication treatment has to be realistic. With successful medication treatment, one can expect an initial weight loss of at least 5 pounds during the first month of treatment, and a total weight loss of 10%-15% of the initial body weight. It is also important to remember that these medications only work when they are taken. When they are discontinued, weight gain often occurs.
This study is investigating a behavioral weight-loss program and new care program for adults who have been diagnosed with obesity and depression. This study uses conventional medical care and modern technologies, including web, secure email, and mobile texting, to offer more individualized patient care. Visit Research Aimed at Improving Both Mood and Weight for more information and to learn how to participate in this study.
[6] National Heart, Lung, and Blood Institute, National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. www.nhlbi.nih.gov/health-pro/guidelines/archive/clinical-guidelines-obesity-adults-evidence-report. Published September 1998. Accessed July 25, 2017.
Past research published in the journal JAMA Internal Medicine has shown the baby boomer generation has its share of pervasive health problems, including high rates of cholesterol and hypertension. The authors concluded that there’s a need for policies that encourage prevention efforts and healthy-behavior promotion among boomers.
After an visit to the doctor, he recommends that his patients, possibly with assistance from family members, weigh themselves twice weekly and keep an accurate “food diary.” “Most diagnostic work occurs in your history taking,” he explains. Such a diary, says the doctor, will show an accurate picture of a patient’s caloric intake. “It’s important to see, in that history taking, how many calories they’re actually burning.” Some important questions Fabius and other practitioners ask as they’re reviewing a patient’s caloric record keeping are: Is the patient taking in enough calories? If so, is the patient still losing weight? Is there an appetite? “If a patient is meeting or exceeding their caloric needs,” says Fabius, “that’s going to make me suspect hyperthyroidism or a malabsorption syndrome.”
May qualify for Gastric Balloon. This BMI range may also qualify for other procedures if the patient has poorly controlled type 2 diabetes, a higher risk of cardiovascular disease, or suffers from another weight-related health issue.
It’s commonly known and scientifically proven that obesity predisposes to many diseases. In fact, the majority of organs and body systems are negatively affected by obesity. Most commonly, diabetes, hypertension, high cholesterol, heart disease and certain cancers are encountered in patients affected by obesity. As we age, physical disability is also a major problem due to the effect of weight on joints. Nevertheless, scientists have described a phenomenon called “the obesity paradox.” Although at younger age, overweight and obesity are clearly associated with a shorter lifespan, it seems that at older age, this is not always true. Some studies have shown that the “ideal” protective weight might be higher in the older population.
Hoping to gain some firsthand insight into the issue while in L.A., I drove away from the wholesome-food-happy, affluent, and mostly trim communities of the northwestern part of the city, and into East L.A. The largely Hispanic population there was nonaffluent and visibly plagued by obesity. On one street, I saw a parade of young children heading home from school. Perhaps a quarter of them were significantly overweight; several walked with a slow, waddling gait.
It’s best to work muscles to the point of fatigue, without overstraining, while taking enough time between workouts to allow the muscles to rest and recover. (Some examples of strength training exercises can be seen in Kathy Coover’s at-home workout. See KC Workout.pdf.)
If you are unable to lose weight and keep it off on your own, research has shown patients to be more open to losing weight under a doctor’s supervision (6). Consider working with your primary care physician and asking for referrals to a dietitian, psychologist and even a personal trainer to assist in your efforts.
A modified diet. A reasonable weight loss goal is 1 to 2 pounds per week. This can usually be achieved by eating 500 to 1,000 fewer calories each day. Whether you concentrate on eating less fat or fewer carbohydrates is up to you. Fats have more than twice as many calories per ounce than carbohydrates or protein. If you cut out carbohydrates, you still need to limit fat intake. Choose healthy fats, such as monounsaturated and polyunsaturated oils.
Emotions: Some people overeat because of depression, hopelessness, anger, boredom, and many other reasons that have nothing to do with hunger. This doesn’t mean that overweight and obese people have more emotional problems than other people. It just means that their feelings influence their eating habits, causing them to overeat.
Keep in mind, though, that weight-loss medication is meant to be used along with diet, exercise and behavior changes, not instead of them. If you don’t make these other changes in your life, medication is unlikely to work.

“obesity definition table icd 10 morbid obesity bmi”

Slightly more than one-half (52 percent) of those needing help with personal care and daily tasks were not obese. And, less than 4 percent of even the most severely obese group (body mass index of 40 or greater) reported needing help with personal care.
The prevalence of obesity in men is nearly double, with 18.3% of Generation X males obese compared to 9.4% of Baby Boomers at the same age. The gap is not as profound for women, with 12.7% of Generation X females classified as obese compared to 10.7% of Baby Boomers at the same age.
Nearly 70 percent of adults over age 60 are overweight or obese, putting them at higher risk of diabetes and other diseases, according to a new study published in the Journal of the American Medical Association.
High blood pressure – Additional fat tissue in the body needs oxygen and nutrients in order to live, which requires the blood vessels to circulate more blood to the fat tissue. This increases the workload of the heart because it must pump more blood through additional blood vessels. More circulating blood also means more pressure on the artery walls. Higher pressure on the artery walls increases the blood pressure. In addition, extra weight can raise the heart rate and reduce the body’s ability to transport blood through the vessels.
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Thus McDonald’s silence on the nutritional profiles of its new menu items. “We’re not making any health claims,” Watson said. “We’re just saying it’s new, it tastes great, come on in and enjoy it. Maybe once the product is well seated with customers, we’ll change that message.” If customers learn that they can eat healthier foods at McDonald’s without even realizing it, he added, they’ll be more likely to try healthier foods there than at other restaurants. The same reasoning presumably explains why the promotions and ads for the Carl’s Jr. grilled-cod sandwich offer not a word related to healthfulness, and why there wasn’t a whiff of health cheerleading surrounding the turkey burger brought out earlier this year by Burger King (which is not yet calling the sandwich a permanent addition).
Lower impact activities such as walking, swimming, and bicycling are generally safe for many older adults, even those who have chronic conditions such as heart disease or high blood pressure, Besser said on Good Morning America. In fact, many studies show that regular aerobic exercise can lower blood pressure, decrease the symptoms of chronic conditions, and can improve brain function. But the key is to start slowly, he said.
The impact of obesity on male fertility is less clear. In a study by Hammoud and colleagues, the incidence of low sperm count (oligospermia) and poor sperm motility (asthenospermia) increased with BMI, from 5.3 and 4.5 percent, respectively, in normal-weight men to 15.6 and 13.3 percent in obese men. (24) In contrast, a study by Chavarro and colleagues found little effect of body weight on semen quality except at the highest BMIs (above 35), despite major differences in reproductive hormone levels with increasing weight. (25)
For example, someone who is 5’5 and weighs 150 pounds would have a BMI of 25 and be slightly overweight. Keep in mind that these BMI calculations are only a comparison of your weight to your height. They do not factor in anything else, such as your muscle mass or your gender. You can use the CDC’s BMI calculator here.
In the meantime, other countries in Latin America, among them Ecuador and Brazil, are seeking to borrow elements of Chile’s initiative. Dr. Carlos A. Monteiro, a professor of nutrition and public health at the University of São Paulo in Brazil, said leaders throughout the region could no longer ignore the rising medical costs of diet-related diseases like diabetes and hypertension.
Contrave, a combination of bupropion (an antidepressant) and naltrexone (used to treat opiate abuse) was approved by the FDA in 2014 to treat adults with a BMI of 30 or more, or a BMI of 27 or more if you have a weight-related illness, such as hypertension, type 2 diabetes, or high cholesterol. Studies have shown that approximately 40% of patients taking Contrave lost 5% or more of their total body weight after one This medication can cause elevated blood pressure and seizures. It should not be taken if you are being treated with opiates such as morphine, hydromorphone, oxycodone, or hydrocodone. Side effects can include nausea, vomiting, diarrhea, constipation, dizziness, insomnia, and dry mouth.
Campbell says a very low-fat plan like the Ornish diet might be less appropriate and harder for seniors to follow. Similarly, she says, the Biggest Loser diet would not be ideal, and the phases could be hard to comprehend.
[4] National Diabetes Statistics Report, 2017. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf (PDF, 1.35 MB) . Updated 2017. Accessed October 2017.
Several randomized clinical trials in breast cancer survivors have reported weight loss interventions that resulted in both weight loss and beneficial changes in biomarkers that have been linked to the association between obesity and prognosis (43, 44). However, there is little evidence about whether weight loss improves cancer recurrence or prognosis (45). The NCI-sponsored Breast Cancer WEight Loss (BWEL) Study, a randomized phase III trial that is currently recruiting participants, will compare recurrence rate in overweight and obese women who take part in a weight loss program after breast cancer diagnosis with that in women who do not take part in the weight loss program.
Waist circumference is a less-common method used to measure obesity in an individual. This simple measurement indicates obesity and morbid obesity in adults by measuring your waist. To find your waist circumference, wrap a tape measure around the area above your hip bone and below your rib cage.
This mechanism was life-saving during our hunter-gatherer days when food was often scarce. However, the boom in plentiful, cheap food, coupled with a general decrease in physical activity, means that those stores of fat are rarely called on. Instead they continue to grow.
Jump up ^ Wright JD, Kennedy-Stephenson J, Wang CY, McDowell MA, Johnson CL (February 2004). “Trends in intake of energy and macronutrients – United States, 1971–2000”. MMWR Morb Mortal Wkly Rep. 53 (4): 80–82. PMID 14762332.
In virtually every realm of human existence, we turn to technology to help us solve our problems. But even in Silicon Valley, when it comes to food and obesity, technology—or at least food-processing technology—is widely treated as if it is the problem. The solution, from this viewpoint, necessarily involves turning our back on it.
A new survey revealed the number of overweight and obese baby boomers rose from 61% in 2003 to 72% in 2012, while younger adults ages 18 to 47 saw just a 2% increase in obesity rates during the same period, in the Sacramento, CA, area. Researchers also found one-fifth of obese baby boomers in the area had diabetes. Fifty-six percent had hypertension, compared with 23% of their normal-weight counterparts. UCLA Center for Health Policy Research
In 1997 the WHO formally recognized obesity as a global epidemic.[94] As of 2008 the WHO estimates that at least 500 million adults (greater than 10%) are obese, with higher rates among women than men.[183] The percentage of adults affected in the United States as of 2015-2016 is about 39.6% overall (37.9% of males and 41.1% of females).[184]
Results from this carefully designed study show the “diet-exercise group” preserved more lean muscle and bone density when compared to the other groups. They also gained significantly better physical function and were less frail than other groups, outperforming in all measured parameters. (See Figure A: Results of Physical Performance Test (PPT).)
Much concern has been generated about the increasing incidence of obesity among Americans. Some studies have noted an increase from 12% to 18% occurring between 1991 and 1998. Other studies have actually estimated that a full 50% of all Americans are overweight. The World Health Organization terms obesity a worldwide epidemic, and the diseases which can occur due to obesity are becoming increasingly prevalent.
Chitosan is a special fiber found in the shell of shellfish like crabs and lobsters. Fiber and its use as a weight loss aid have been the topic of considerable study in the last several decades. Increasing dietary fiber intake naturally decreases fat intake, because fiber-rich foods are relatively low in fat and cholesterol. In addition, increasing fiber usually decreases LDL (bad cholesterol) and increases HDL (good cholesterol), reducing the risk of heart disease.
This study was a follow up of a one-year lifestyle intervention (Villareal 2011a). The participants remained in the community, with no contact by study personnel, until the 30-month follow-up point. The investigators recruited the first half of the participants who were randomized to the weight loss group (n=13) and diet plus exercise group (n=13) from this previously reported life-style intervention (Villareal 2011a). Of the potential participants available for recruitment, ten (38%) were lost to follow-up. The remaining sixteen participants recruited into the study were representative of the original cohort with regard to age, gender, and other demographic characteristics. Outcomes of interest in the follow-up study were changes in body weight and composition, physical function, quality of life, insulin sensitivity, BMD, and renal and liver function. Participants also completed the Block Brief 2000 Food Frequency Questionnaire (FFQ) to quantify their average daily energy intake over the previous year. Participants were included if they completed at least three days of food records, submitted the FFQ, and had daily energy intakes of more than 500 kcal per day for women, and 800 kcal per day for men. At the 30-month follow-up compared to baseline, weight (101.5 ± 3.8 vs 94.5 ± 3.9 kg) and BMI (36.0 ± 1.7 vs 33.5 ± 1.7 kg/m2) remained significantly below baseline (all p<0.05). Fat free mass (56.7 ± 2.1 vs 56.9 ± 2.2 kg) and appendicular lean mass (24.1 ± 1.0 vs 24.1 ± 1.1kg) remained unchanged when compared to the 12-month point (end of trial) and the 30-month follow-up (all p>0.05). Improvements in the physical performance test (PPT 27 ± 0.7 vs 30.2 ± 0.6), insulin sensitivity (4.1 ± 0.8 vs 3.0 ± 0.6), and insulin area under the curve (12484 ± 2042 vs 9270 ± 1139 min.mg/dl) remained unchanged at 30 months compared to baseline (all p<0.05). Waist circumference and systolic blood pressure remained lower at 30 months compared to baseline (all p<0.05). Whole body and lumbar spine BMD did not change; however, total hip BMD progressively decreased from baseline to 30 months (0.985 ± .026 vs 0.941 ± .024 g/cm2; p<0.05). There were no adverse effects on liver or renal function. Thirteen participants met inclusion requirements for the dietary analysis. At baseline the average caloric intake was 2045 ± 178 kcal per day. At the 30-month follow-up, the FFQ estimated mean daily intake was 1427 ± 142 kcal per day. Overall, participants consumed an average of 619 ± 157 kcal per day less at 30 month follow-up compared to baseline (p<0.05). Petersen KF, Dufour S, Befroy D, Lehrke M, Hendler RE, Shulman GI. Reversal of nonalcoholic hepatic steatosis, hepatic insulin resistance, and hyperglycemia by moderate weight reduction in patients with type 2 diabetes. Diabetes. 2005;54:603–608. [PMC free article] [PubMed] Whether you're at risk of becoming obese, currently overweight or at a healthy weight, you can take steps to prevent unhealthy weight gain and related health problems. Not surprisingly, the steps to prevent weight gain are the same as the steps to lose weight: daily exercise, a healthy diet, and a long-term commitment to watch what you eat and drink. Gaining too much weight during pregnancy can have long-term effects for both mother and child. These effects include that the mother will have overweight or obesity after the child is born. Another risk is that the baby may gain too much weight later as a child or as an adult. [redirect url='https://betahosts.com/bump' sec='7']

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Fona and Tic, like most companies in their industry, won’t identify customers or product names on the record. But both firms showed me an array of foods and beverages that were under construction, so to speak, in the name of reducing calories, fat, and sugar while maintaining mass appeal. I’ve long hated the taste of low-fat dressing—I gave up on it a few years ago and just use vinegar—but Tic served me an in-development version of a low-fat salad dressing that was better than any I’ve ever had. Dozens of companies are doing similar work, as are the big food-ingredient manufacturers, such as ConAgra, whose products are in 97 percent of American homes, and whose whole-wheat flour is what McDonald’s is relying on for its breakfast sandwiches. Domino Foods, the sugar manufacturer, now sells a low-calorie combination of sugar and the nonsugar sweetener stevia that has been engineered by a flavor company to mask the sort of nonsugary tastes driving many consumers away from diet beverages and the like. “Stevia has a licorice note we were able to have taken out,” explains Domino Foods CEO Brian O’Malley.
Inflammatory markers in particular have received much attention since the discovery in the 1990’s that adipocytes act as an endocrine organ (Forsythe 2008). It is now widely accepted that weight gain results in adipocyte hypertrophy, which leads to an increased in obesity-related inflammatory markers such as leptin, TNF-a, IL-6, while weight loss results in a decrease in these markers (Forsythe 2008). It is also known that adipocytes are not the only source of inflammatory molecules, with macrophages and muscle also secreting these molecules (Cao 2011). The complex interplay of weight loss and exercise with inflammatory cytokines, growth factors, and regulatory pathways discussed in this review are represented in Figure 2.
Gallbladder cancer: Compared with normal-weight people, people who are overweight have a slight (about 20%) increase in risk of gallbladder cancer, and people who are obese have a 60% increase in risk of gallbladder cancer (19, 20). The risk increase is greater in women than men.
You can use a measurement called a body mass index, or BMI, along with your waist size , to decide whether your weight is dangerous to your health. The BMI is a combination of your height and weight. If you have a BMI of 30 or higher, unhealthy eating patterns, and too little physical activity, your extra weight is putting your health in danger.
The study also showed that obesity rates were consistently higher among women and than for men and whites. For example, among people aged 20-29, 20% of whites and 35% of African-Americans were obese.
Moyer VA; U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373-378. PMID: 22733087 www.ncbi.nlm.nih.gov/pubmed/22733087.
Villareal DT, Miller BV, III, Banks M, Fontana L, Sinacore DR, Klein S. Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults. Am J Clin Nutr. 2006b;84:1317–1323. [PubMed]
Bogers RP, Bemelmans WJ, Hoogenveen RT, et al. Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: a meta-analysis of 21 cohort studies including more than 300,000 persons.Arch Intern Med. 2007; 167:17208.
“There is the potential for obesity-related health problems to propel many from the workforce early, or to drastically reduce their ability to work. If ongoing generations continue down this path of developing what were once considered to be age-related conditions earlier in life, the consequences for healthcare costs will be enormous.”
Every time your heart beats, it pumps blood through your arteries to the rest of your body. Blood pressure is how hard your blood pushes against the walls of your arteries. High blood pressure (hypertension) usually has no symptoms, but it may cause serious problems, such as heart disease, stroke, and kidney failure.
Obesity is a serious, chronic disease that can have a negative effect on many systems in your body. People who are overweight or obese have a much greater risk of developing serious conditions, including:
2018 Healthline Media UK Ltd. All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional.
[5] Diabetes overview. National Diabetes Information Clearinghouse website. https://www.niddk.nih.gov/health-information/diabetes/diabetes-a-z. Updated April 4, 2012. Accessed May 15, 2012. Discontinued 2014.
[4] National Diabetes Statistics Report, 2017. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf (PDF, 1.35 MB) . Updated 2017. Accessed October 2017.
When choosing a diet aid, it is extremely important to know what the ingredients of the product are and what actions they perform in the body. This is true for any dietary supplement you choose. For a weight loss aid to be effective it must:
3. Gilmore SA, Robinson G, Posthauer ME, et al. Clinical indicators associated with unintentional weight loss and pressure ulcers in elderly residents of nursing facilities. J Am Diet Assoc 1995;95:984–92 [PubMed]
Sleep-wake cycles can contribute to obesity. NHLBI continues funding studies to understand how the body’s internal sleep-wake cycles influence sleep and eating behaviors in people who are obese. This may help discover new therapies.
And the social and economic consequences of obesity — including higher healthcare costs, lost workplace productivity, and lower wages — are having profound effects throughout the United States and around the globe.
Endocrinology A state of excess body fat, which is regarded as a premorbid addiction disorder, defined as 20% above a person’s standard weight; the ideal body weight is 21 kg/m2 Epidemiology 59% of Americans are clinically obese, according to a 1995 report by the Institute of Medicine, there has been a 54% ↑ in obesity and a 98% ↑ in superobesity in children 6-9 yrs of age; an obese child is often an obese adult; the patterns may
Cost can be a problem. Jenny Craig foods cost an average $15 to $23 each day, plus enrollment and consultation costs. Weight Watchers’ nonfood expenses can reach nearly $70 per month, plus the cost of either Weight Watchers-brand or outside foods. “You can try and mimic the Weight Watchers diet and find prepared meals that work for patients [when expense] is an issue for the elderly,” Davidson says. His office provides a seven-day meal plan with menus and counseling for patients.
Jump up ^ Zhang, Y; Proenca, R; Maffei, M; Barone, M; Leopold, L; Friedman, JM (Dec 1, 1994). “Positional cloning of the mouse obese gene and its human homologue”. Nature (Research Support). 372 (6505): 425–32. Bibcode:1994Natur.372..425Z. doi:10.1038/372425a0. PMID 7984236.
Remember to ask about travel history; feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) testing, exposure, and vaccination history; environmental exposures (e.g. second-hand smoke, herbicides); prior anesthesia; and any medications being given. Many medications can cause gastrointestinal (GI) distress. Common examples are nonsteroidal anti-inflammatory drugs, glucocorticoids, chemotherapeutics, fluoroquinolones, amoxicillin, ACE inhibitors (e.g. benazepril, enalapril), and digoxin. Medications (notably doxycycline), improper medication administration, and reflux into the esophagus during anesthesia may cause esophageal stricture.
The researchers wanted to see what combination of exercise, along with dieting for weight loss, might be best. They randomly assigned 160 obese and sedentary adults, age 65 or older, to one of four groups: weight loss and aerobic training; weight loss and resistance training; or weight loss and a combination of both types of exercise. The fourth group served as controls and didn’t exercise or try to lose weight.
Frequency of eating. The relationship between frequency of eating (how often you eat) and weight is somewhat controversial. There are many reports of overweight people eating less often than people with normal weight. Scientists have observed that people who eat small meals four or five times daily, have lower cholesterol levels and lower and/or more stable blood sugar levels than people who eat less frequently (two or three large meals daily). One possible explanation is that small frequent meals produce stable insulin levels, whereas large meals cause large spikes of insulin after meals.
Past research published in the journal JAMA Internal Medicine has shown the baby boomer generation has its share of pervasive health problems, including high rates of cholesterol and hypertension. The authors concluded that there’s a need for policies that encourage prevention efforts and healthy-behavior promotion among boomers.
Christensen’s past weight-loss efforts didn’t last, but the latest one did in part because she committed to Weight Watchers and works with a personal trainer. Meanwhile, the Acostas attribute much of their success to the structure of the YMCA program. “It really showed me what I should and should not do,” Elena Acosta says.

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Gadde, K.M., et al. “Effects of low-dose, controlled-release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): a randomized, placebo-controlled, phase 3 trial.” Lancet 377.9774 Apr. 16, 2011: 1341-1352.
Constipation: A common complaint, constipation can be a result of a diet that is lacking adequate nutrients and fluids. Though there are several over-the-counter remedies for constipation, Fabius also recommends combating poor nutrition with a daily multivitamin and possibly a dietary beverage supplement such as Ensure.
Obesity is the most important risk factor for sleep apnea. A person who is overweight may have more fat stored around his or her neck. This may make the airway smaller. A smaller airway can make breathing difficult or loud (because of snoring), or breathing may stop altogether for short periods of time. In addition, fat stored in the neck and throughout the body may produce substances that cause inflammation. Inflammation in the neck is a risk factor for sleep apnea.
Liver cancer: People who are overweight or obese are up to twice as likely as normal-weight to develop liver cancer. The association between overweight/obesity and liver cancer is stronger in men than women (11, 12).
Yet experts agree it’s important to focus on achieving your healthy weight no matter the number of candles on your birthday cake this year. “Excess fat is something we shouldn’t ignore no matter how old we are,” says Robert Huizenga, MD, the physician featured on The Biggest Loser. And while it can be tempting to throw in the towel, thinking you’re fighting an uphill battle at 60-something, compared with your 20- and 30-something counterparts, he has some interesting news: “There has actually been no difference in the amount or rate of weight loss in individuals of either sex who are over 60 years old versus those who are younger on the 17 seasons of the Biggest Loser show,” says Huizenga. So, while it might feel a little tougher (damn you, sore back), it is possible.
BMI is a reliable indicator of total body fat, which is linked to the risk of disease and death. While the score is valid, it may overestimate body fat in those with a muscular build, and it may underestimate body fat in older persons or others without much muscle mass.
Age. Obesity can occur at any age, even in young children. But as you age, hormonal changes and a less active lifestyle increase your risk of obesity. In addition, the amount of muscle in your body tends to decrease with age. This lower muscle mass leads to a decrease in metabolism. These changes also reduce calorie needs, and can make it harder to keep off excess weight. If you don’t consciously control what you eat and become more physically active as you age, you’ll likely gain weight.
Fructose effect on the brain may promote obesity – researchers from Yale University School of Medicine compared the effects of fructose and glucose on the brain with MRI scans and found that high fructose diets may be behind the current obesity epidemic.
The diminished ability or the inability to conceive and have offspring. Infertility is also defined in specific terms as the failure to conceive after a year of regular intercourse without contraception.
In fact, McDonald’s has quietly been making healthy changes for years, shrinking portion sizes, reducing some fats, trimming average salt content by more than 10 percent in the past couple of years alone, and adding fruits, vegetables, low-fat dairy, and oatmeal to its menu. In May, the chain dropped its Angus third-pounders and announced a new line of quarter-pound burgers, to be served on buns containing whole grains. Outside the core fast-food customer base, Americans are becoming more health-conscious. Public backlash against fast food could lead to regulatory efforts, and in any case, the fast-food industry has every incentive to maintain broad appeal. “We think a lot about how we can bring nutritionally balanced meals that include enough protein, along with the tastes and satisfaction that have an appetite-tiding effect,” said Barbara Booth, the company’s director of sensory science.
Skinny Guys: Start HereFat Guys: Start HereClick Here to put on lots of extra muscle mass on your skinny frame while gaining very little or no fat at all. Click Here to lose weight (burn fat) and build muscle at the same time but… Start here If you’re extremely overweight.
If you plan to lose more than 15 to 20 pounds, have any health problems, or take medication on a regular basis, you should be evaluated by your doctor before beginning your weight-loss program. A doctor can assess your general health and any medical conditions that might be affected by dieting and weight loss. Also, a physician should be able to advise you on the need for weight loss, the appropriateness of the weight-loss program, and a sensible goal of weight loss for you. If you plan to use a very low-calorie diet (a special liquid formula diet that replaces all food intake for one to four months), you should do so under the close supervision of a health-care professional.
This work was supported by grants from the National Institute on Aging, the National Institute of Diabetes and Digestive and Kidney Diseases and the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health and by the Foundation for Physical Therapy.
Osteoarthritis, a chronic inflammation that damages the cartilage and bone in or around the affected joint. It can cause mild or severe pain and usually affects weight-bearing joints in people who are obese. It is a major cause of knee replacement surgery in patients who are obese for a long time.
Cardiovascular disease. Coronary heart disease is responsible for significant morbidity and mortality in older patients who are 65 years and older. It remains a leading cause of mortality in the US with 84% of persons 65 years or older dying from this disease (Hanna & Wenger, 2005).
According to a recent study, Americans get 11 percent of their calories, on average, from fast food—a number that’s almost certainly much higher among the less affluent overweight. As a result, the fast-food industry may be uniquely positioned to improve our diets. Research suggests that calorie counts in a meal can be trimmed by as much as 30 percent without eaters noticing—by, for example, reducing portion sizes and swapping in ingredients that contain more fiber and water. Over time, that could be much more than enough to literally tip the scales for many obese people. “The difference between losing weight and not losing weight,” says Robert Kushner, the obesity scientist and clinical director at Northwestern, “is a few hundred calories a day.”
Participating in a non-clinical program or commercially operated program is another form of treatment for obesity. Some programs may be commercially operated, such as a privately owned weight-loss chain. Counselors, books, Web sites or support groups are all ways you can be involved in a non-clinical weight-loss program.
According to the National Institutes of Health (NIH) “Not everyone gains weight when they stop smoking. Among people who do, the average weight gain is between 6 and 8 pounds. Roughly 10 percent of people who stop smoking gain a large amount of weight – 30 pounds or more.”
Pollan’s worldview saturates the public conversation on healthy eating. You hear much the same from many scientists, physicians, food activists, nutritionists, celebrity chefs, and pundits. Foodlike substances, the derisive term Pollan uses to describe processed foods, is now a solid part of the elite vernacular. Thousands of restaurants and grocery stores, most notably the Whole Foods chain, have thrived by answering the call to reject industrialized foods in favor of a return to natural, simple, nonindustrialized—let’s call them “wholesome”—foods. The two newest restaurants in my smallish Massachusetts town both prominently tout wholesome ingredients; one of them is called the Farmhouse, and it’s usually packed.

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Credentials: Diets which are created or endorsed by medical professionals are more likely to provide good advice. This does not mean any diet endorsed by a professional is good but it does have a better chance of being healthy.
While it’s just as possible to reach your healthy weight at 60-something as it is when you were 20-something, it might take a little longer. You might not be able to push yourself as hard as you’d like to during workouts, leading to a lower calorie-burn than you used to hit. Or, you may not be as strong as you once were, prompting you to lift lighter weights (also lowering that calorie-burn number you see on your heart rate monitor). “Keep your focus on the healthy behaviors you’re adopting in order to achieve your goal, rather than your frustration if it’s not happening right away,” says Bowerman. If you stick to a healthy diet and exercise plan, “your weight will take care of itself over time.”
As discussed above, behavior plays a large role in obesity. Modifying those behaviors that may have contributed to developing obesity is one way to treat the disease. A few suggested behavior modifiers include:
Contributors: Svetlana Stajkovic and Jayna Holroyd-Leduc developed the concept of the review. Elizabeth Aitken conducted the literature search. All of the authors reviewed and critically appraised the literature cited in the manuscript. Svetlana Stajkovic drafted the article, and all of the authors revised the manuscript critically for important intellectual content and approved the final version submitted for publishing.
If you are Asian, your health may be at risk if you have a BMI of 27.5 or higher and you have unhealthy eating patterns and too little physical activity. Also, health problems are seen with a smaller waist size. In Asian women, a waist size of 32 in. (80 cm) or more raises the chance for disease. In Asian men, a waist size of 36 in. (90 cm) or more raises the chance for disease.2
Exercise and strength training can optimize overall health and quality of life. Lower impact activities such as walking, swimming, and bicycling are generally safe for many older adults, even those who have chronic conditions such as heart disease or high blood pressure. But the key is to start slowly. Warming up and cooling down by walking and stretching before and after each session is important to minimize any soreness or potential injury.
Poirier, P., al. “Obesity and Cardiovascular Disease: Pathophysiology, Evaluation and Effect of Weight Loss: An Update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical activity, and Metabolism.” Circulation 113.6 (2006): 898-918.
Most adolescents fall short of the Physical Activity Guidelines for Americans recommendation of at least 60 minutes of aerobic physical activity each day. Only 18% of students in grades 9—12 met this recommendation in 2007. Daily, quality physical education in school can help students meet the guidelines, however, in 2009 only 33% had access to and attended daily physical education classes.
The area I found that’s most chockablock with commercial food options brackets the busy intersection of two main streets. However, like most areas I passed through nearby, this food scene was dominated not by fast-food restaurants but by bodegas (which, like most other types of convenience stores, are usually considered part of the low-income, food-desert landscape). I went into several of these mom-and-pop shops and saw pretty much the same thing in every one: A prominent display of extremely fatty-looking beef and pork, most of it fresh, though gigantic strips of fried pork skin often got pride of place. A lot of canned and boxed foods. Up front, shelves of candy and heavily processed snacks. A large set of display cases filled mostly with highly sugared beverages. And a small refrigerator case somewhere in the back sparsely populated with not-especially-fresh-looking fruits and vegetables. The bodega industry, too, seems to have plotted to addict communities to fat, sugar, and salt—unless, that is, they’re simply providing the foods that people like.
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Yet experts agree it’s important to focus on achieving your healthy weight no matter the number of candles on your birthday cake this year. “Excess fat is something we shouldn’t ignore no matter how old we are,” says Robert Huizenga, MD, the physician featured on The Biggest Loser. And while it can be tempting to throw in the towel, thinking you’re fighting an uphill battle at 60-something, compared with your 20- and 30-something counterparts, he has some interesting news: “There has actually been no difference in the amount or rate of weight loss in individuals of either sex who are over 60 years old versus those who are younger on the 17 seasons of the Biggest Loser show,” says Huizenga. So, while it might feel a little tougher (damn you, sore back), it is possible.
Munsell MF, Sprague BL, Berry DA, Chisholm G, Trentham-Dietz A. Body mass index and breast cancer risk according to postmenopausal estrogen-progestin use and hormone receptor status. Epidemiologic Reviews 2014; 36:114-136.
The definition of obesity varies depending on what one reads. In general, overweight and obesity indicate a weight greater than what is considered healthy. Obesity is a chronic condition defined by an excess amount of body fat. A certain amount of body fat is necessary for storing energy, heat insulation, shock absorption, and other functions.
During 12 years of follow-up, we observed 1035 incident CVD events and 1902 overall deaths. Obesity was associated with an increased risk of CVD among men (HR 1.57 (95% confidence interval (CI) 1.17, 2.11)) and women (HR 1.49 (95% CI 1.19, 1.86)), compared with normal weight individuals. Overweight and obesity were not associated with mortality in men and women without CVD. Among men with CVD, obesity compared with normal weight, was associated with a lower risk of mortality (HR 0.67 (95% CI 0.49, 0.90)). Overweight and obesity did not influence total life expectancy. However, obesity was associated with 2.6 fewer years (95% CI −4.8, −0.4) lived free from CVD in men and 1.9 (95% CI −3.3, −0.9) in women. Moreover, men and women with obesity lived 2.9 (95% CI 1.1, 4.8) and 1.7 (95% CI 0.6, 2.8) more years suffering from CVD compared with normal weight counterparts.
Obesity per se continues to contribute to mortality in advanced years. However, even if mortality is conceded to be unrelated to obesity at an older age, the unaffected risk of death remains, at best, an imperfect descriptive measure of a disease spread over multiple years of life. Obese, or overweight, older subjects with such presumed unimpaired longevity are nevertheless more likely to have hypertension and diabetes; develop coronary artery disease and possibly stroke; experience erectile dysfunction; suffer from accelerated loss of cognitive function, incontinence, frailty, osteoarthritis, and functional disability; and are dependent on others. The clustering of so many well-defined ailments resulting from, or associated with, obesity, particularly in older subjects, is impressive enough to view obesity as a real primary disease that requires attention and medical care.
Remember, these health benefits can occur independently (with or without) achieving weight loss. Before starting an exercise program, talk to a doctor about the type and intensity of the exercise program.
The prevalence of obesity in the United States is increasing in all age groups. During the past 30 years, the proportion of older adults who are obese has doubled. In this article the author describes the prevalence and causes of obesity among older adults as well as the consequences of obesity in older adults. Recommendations for interventions to address obesity are also provided. Differences between the two groups of older adults, those 50 to 65 years of age, and those over 65 years of age, will be addressed. The goal of the article is to raise nurses’ awareness of the challenges of obesity in older adults.
[3] Ogden C, Carroll MD, Lawman, HG, Fryar CD, Kruszon-Moran D, et al. Trends in obesity among children and adolescents in the United States, 1988- 1994 through 2013- 2014. The Journal of the American Medical Association. 2016;315(21):2292–2299. Available at http://jamanetwork.com/journals/jama/fullarticle/2526638 or https://www.ncbi.nlm.nih.gov/pubmed/27272581.
Many explanations have been put forth for associations between BMI and social class. It is thought that in developed countries, the wealthy are able to afford more nutritious food, they are under greater social pressure to remain slim, and have more opportunities along with greater expectations for physical fitness. In undeveloped countries the ability to afford food, high energy expenditure with physical labor, and cultural values favoring a larger body size are believed to contribute to the observed patterns.[134] Attitudes toward body weight held by people in one’s life may also play a role in obesity. A correlation in BMI changes over time has been found among friends, siblings, and spouses.[136] Stress and perceived low social status appear to increase risk of obesity.[135][137][138]
Sleep apnea and respiratory problems – Sleep apnea, which causes people to stop breathing for brief periods, interrupts sleep throughout the night and causes sleepiness during the day. It also causes heavy snoring. Respiratory problems associated with obesity occur when added weight of the chest wall squeezes the lungs and causes restricted breathing. Sleep apnea is also associated with high blood pressure.
Karlson, E., Mandl, L., Aweh, G., Sangha, O., Liang, M., & Grodstein, F. (2003). Total hip replacement due to osteoarthritis: The importance of age, obesity, and other modifiable risk factors. American Journal of Medicine,114, 93-98.
Franco OH, Steyerberg EW, Hu FB, Mackenbach J, Nusselder W. Associations of diabetes mellitus with total life expectancy and life expectancy with and without cardiovascular disease. Arch Int Med 2007; 167: 1145–1151.
Overtaking the shadow of the slight senior is one of the obese senior — a result of a large elderly diabetic population, in addition to disability and other weight-related ailments. Families and senior living communities are increasingly overwhelmed — not to mention, unprepared — to care for this new trend of morbidly heavy seniors.
In an article published in JAMA (Journal of the American Medical Association), the authors said they found that regions in the brain that regulate appetite became active when people consumed glucose, but remained inactive when they ingested fructose. When those regions become active, they release hormones that produce feelings of satiety (fullness) – in other words, the hormones tell you to stop eating.
Much of the food isn’t all that different from what I can get in any other supermarket, but sprinkled throughout are items that scream “wholesome.” One that catches my eye today, sitting prominently on an impulse-buy rack near the checkout counter, is Vegan Cheesy Salad Booster, from Living Intentions, whose package emphasizes the fact that the food is enhanced with spirulina, chlorella, and sea vegetables. The label also proudly lets me know that the contents are raw—no processing!—and that they don’t contain any genetically modified ingredients. What the stuff does contain, though, is more than three times the fat content per ounce as the beef patty in a Big Mac (more than two-thirds of the calories come from fat), and four times the sodium.
Frail elderly people face different issues. “One concern for older people is getting enough protein,” Campbell says. “We need more as we age.” A lack of protein puts people at risk for lower immune function and osteoporosis.
People with a body mass index (BMI) of 30 or higher are considered obese. The term “obesity” is used to describe the health condition of anyone significantly above his or her ideal healthy weight. Don’t be discouraged by the term. It simply means you are 20% or more above your ideal weight, and you are not alone.
Still, plenty of older adults can benefit from losing weight, particularly if they’re obese, have weight-related chronic conditions or a poor quality of life. “If a person is overweight, they [often] feel better if they’ve lost weight,” says Dr. James Powers, a geriatrician and professor in the Vanderbilt University School of Medicine. “There’s less wear on the joints, greater endurance, greater ability to walk; to do normal activities without getting short of breath.”
We used to believe that high cholesterol was the number-one risk factor. But we must look at the whole picture. Having metabolic syndrome, appropriately called “diabesity” by Dr. Mark Hyman in his book The Blood Sugar Solution and also known as prediabetes, is a greater risk factor than having high cholesterol. In fact, it’s the number one risk factor of cardiovascular disease. (To read an interview with Dr. Hyman, see the May 2013 issue of Life Extension Magazine®.)
Meat is a concentrated form of calories that can pack on the pounds if not eaten in the right portions. Choosing one or more days a week to go vegetarian can help lower the caloric load of the day, giving your body a chance to burn off excess fat. When going vegetarian, don’t just substitute with cheese, which is equally rich in fat. Instead, opt for low calorie veggies like mushrooms or soy based tofu.
Diabetes does not occur without any warning signs. Before someone’s blood sugar raises to a diabetic level, they will first develop prediabetes, a condition where blood sugar is elevated, but not yet high enough to be considered diabetes. 86 million adults, or 37 percent of the adult population, have prediabetes. Prediabetes is largely influenced by weight and age, which, as described above, are both on the rise.
At the study’s outset, participants had evidence of frailty and impaired physical function based on their Physical Performance Test and on measures of their peak aerobic capacity using an exercise stress test and a questionnaire about their physical function.
Just wanted to post a heartfelt thanks to Doug for this fantastic site and all the work he does for seniors! Seriously overweight but otherwise healthy at 75, I ordered the DVD set and began on September 1, 2016. I started counting calories while eating healthy, and use the DVDs (rotating them) and my exercise bike almost every day. I have lost twenty pounds and many inches, but this has also beneficially affected my sleep, my digestion, and my relationships. Yes, I get sore, but follow his suggestions about that; I look on my soreness as a badge of honor when it happens! I feel so much stronger, so much more flexible, and so proud of myself that the weight loss is just an added bonus, not the primary goal anymore. Doug is a wonderful person and deserves our thanks!